Organization
FAYETTEVILLE VAMC
Active
Other names
WILMINGTON NC VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1705 GARDNER ROAD, WILMINGTON, NC 28405-8873
(910) 343-5339
(910) 822-7083
Mailing address
PO BOX 89494, CLEVELAND, OH 44101-6494
(828) 257-2333
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3461403
NCPDP
—
Enumeration date
02/04/2013
Last updated
10/28/2024
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